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BROWN UNIVERSITY HEALTH PHARMACY
NPI 1629622634
Pharmacy - Specialty Pharmacy in Providence, RI

Active since July 29, 2019
117 CHAPMAN ST STE 200, PROVIDENCE, RI 02905(401) 444-9909(401) 444-4095 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Oct 22, 2021, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

About Brown University Health Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROWN UNIVERSITY HEALTH PHARMACY (NPI 1629622634) is a healthcare organization registered as a specialty pharmacy in Providence, Rhode Island and active in the NPI registry since July 2019. The organization lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629622634
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameLIFESPAN PHARMACY, LLC
Location Address117 CHAPMAN ST STE 200Providence, RI 02905-5400
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 444-9909
Fax(401) 444-4095
Organization SubpartNo
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateJuly 29, 2019
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1629622634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
117 CHAPMAN ST STE 200, Providence, RI 02905
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Other Names 1

Doing Business AsBrown University Health Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Lifespan Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Lifespan Pharmacy LLC

DMEPOS supplier · Providence, RI
✔

Accepts Medicare assignment

Lifespan Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20409131
Medicare Participant SinceJanuary 1, 2021
Supplier Location117 Chapman St Ste 200Providence, RI 02905
Phone(401) 444-9909
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL D DUPREY JR. PHARMD
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 606-1183
KAITLYN POULIOT
Pharmacist
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
ALISSA M MARGRAF PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
LIFESPAN PHARMACY, LLC
Home Infusion
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
KENNETH JUDSON WAGG RPH
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
JACK MOUNTAIN PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
LYDIA MASKELL PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909
DR. LYNDSEY E GARDE PHARMD
Pharmacist (Ambulatory Care)
117 CHAPMAN ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 444-9909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Pharmacy, LLC's NPI number?

The NPI number for Lifespan Pharmacy, LLC is 1629622634. It was assigned to this organization in the NPPES registry on July 29, 2019. The provider is doing business as Brown University Health Pharmacy.

Where is Lifespan Pharmacy, LLC located?

Lifespan Pharmacy, LLC is located at 117 Chapman St Ste 200, Providence, RI 02905. The listed phone number is (401) 444-9909.

What is Lifespan Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Lifespan Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lifespan Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lifespan Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Lifespan Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespan Pharmacy, LLC was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.